Treatment of Necrotizing Fasciitis With NovoSorb Biodegradable Temporizing Matrix and RECELL Autologous Skin Cell Suspension: A Case Series

Author:

Austin Cindy L1,Sodade Oluwafolaranmi E1,Harrison Brody2,Causa Krisi3

Affiliation:

1. Mercy Hospital—Springfield, Trauma & Burn Research , 1235 E Cherokee, 5H, Springfield, MO 65804 , USA

2. Mercy Hospital—Springfield, Department of Burn , 1235 E Cherokee, 7H, Springfield, MO 65804 , USA

3. Mercy Hospital—Springfield, Trauma and Burn Surgery , 1965 S Fremont Ave, Springfield, MO 65804 , USA

Abstract

Abstract This case series reviews the management of 2 patients who developed a rare, aggressive soft tissue infection, necrotizing fasciitis treated with a synthetic polyurethane dermal regenerative template, Biodegradable Temporizing Matrix (NovoSorb BTM) in conjunction with an off-label use of RECELL device applying autologous skin cell suspension and a split-thickness skin graft for reconstruction. The clinical relevance describes a non-traditional patient’s course of treatment and clinical outcome using BTM and RECELL for necrotizing fasciitis. The 2 patients survived with acceptable outcomes and timely healing despite a high chance of mortality and likely amputation secondary to the extensive surface area and anatomical location of the infection.

Publisher

Oxford University Press (OUP)

Subject

Rehabilitation,Emergency Medicine,Surgery

Reference17 articles.

1. Incidence and mortality of necrotizing fasciitis in the Netherlands: impact of group A Streptococcus;Nawiin;BMC Inf Dis,2021

2. Acute thermal burn and full-thickness skin defects ISI. Indications for use. Autologous Therapy for Treating Thermal Burn Wounds | RECELL® System;RECELL Safety Information

3. A biodegradable polyurethane dermal matrix in reconstruction of free flap donor sites: a pilot study;Wagstaff;Eplasty,2015

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